RL: RL Coopesain
Sunday, February 25, 2007
Is It Normal For A Baby To Vomite Phleghmes?
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Knowing the experience begun in the District of Pavas (Canton San Jose, San Jose Province) with the cooperative COOPESALUD , a group of health workers, both private and public sectors, raise the possibility in July 1989 that the new clinic Social Security Fund (CCSS) in San Juan de Tibás (just north of San José Canton), is managed by a cooperative. The proposal is accepted and the workers are in January 1990 the self-managed cooperatives of Integral Health Servers - Coopesain RL. and in May the same year, under the administration of this cooperative, the Integrated Clinical Tibás opens its doors to serve 
a community of over 50,000 people residing in the Canton Tibás (Districts of San Juan and Llorente) and Moravian (District of San Vicente) in San José Province and San Juan District in Canton of Santo Domingo de Heredia Province , in this model the building and the required equipment belonging to the CCSS , however the costs of improvements and maintenance under the Cooperative, the attention of the members are financed by the CCSS . care model
care model retains elements of Health Promotion and Disease Prevention derived from the Public Health System adopting the model of Ebais , also began a program Lifestyle (PROEVISA) as a research project in conjunction with INCAP (Institute of Nutrition of Central America and Panama), to determine cardiovascular risk factors in the population, which then spread like a range of services for health promotion and disease prevention such as lifestyle fairs healthy community promoters training, material and methodology to train health workers and leaders, group sessions to adopt healthy lifestyle eating and physical activity. Since November 1990 the clinic became the first to open an ambulatory surgery program at major clinics, and offers pharmacy services and home visits more accessible to the community and at a lower cost to the government, which were incurred before taken this model.
Innovations in the management
administrative and financial autonomy of the model has allowed to raise the standards of quality, efficiency and productivity of the clinic, mostly shown by high levels of customer satisfaction and suppliers. Reduced inappropriate use of hospital wards, the appointments are scheduled although walk-in patients should wait less than 30 minutes to be served, and doctors treat an average of 4 patients per hour. The introduction of software hospital management has improved the quality of care and in January 2004 began using electronic medical records with the consequent acceleration in the process of care (for example, the system allows the doctor to send from his office order for laboratory examination, and prescription pharmacy to enlist the drug while the insured terminates the query).
has achieved a strong commitment to community participation processes and the creation of the Community Monitoring Committee, composed of community organizations such as municipalities, cantons unions, voluntary groups and health committees, the community has the means to make their comments, complaints and solutions to the problems identified in the administration and the relationship of this with the community in their jurisdiction. This will ensure that clinical programs allow greater responsiveness to community needs.
Extension to other regions.
Like other co-existing health, in late 1997 signed with the CCSS "management contracts", which meant the extension of the agreement initially signed in 1990 and the addenda adopted in January 2002 by the CCSS extended health services to San Sebastian Canton (Barrio Paso Ancho) of the Province of San José .
currently serves a population of 97,541 inhabitants (52,839 inhabitants. In the area of \u200b\u200binfluence Tibás and 44,702 in San Sebastian Paso Ancho), which corresponds to 2.4% of the population, receiving from the CCSS and pay a fixed annual per capita value counted in the area served that for 2006 was ¢ 20,282 (U $ 39), in the period between 1999 and 2006, the CCSS paid Coopesaín ¢ 12.392 million (U.S. $ 23.8 million). In December 2006, the Cooperative extended its contract for 2 years. 85% of the activities are financed by the sale of services to the CCSS, 15% comes from the sale of Oral Health Services, Occupational Health and other services to local businesses.
Join the Consortium Consalud RL, in June 2003 began operating the hospital private cooperative type in the district Quesada (San Carlos Canton), the first of kind in Central America. (unlike clinics administered cooperatives, this hospital is owned by the cooperatives formed in the consortium).
63% of workers are associated.
Coopesain is a cooperative self-managed, meaning that only allows the association of workers (the equivalent of a Labour Cooperative Association), currently only 122 of the 193 employees working in it are associated with an estimated total staff of 30% were professionals, if an officer is not competent, is cut off from their jobs and lose their membership by decision of the Assembly of the Cooperative are not more data.
Surplus management intended in part to compensate workers in addition to the partners and the rest, based on cooperative principles, is investing in communities and in Colonia Kennedy and Cascajal Gardens, where resources move DPs.
Support culture.
The Clinic facilities Tibás works Regional Costa Rican Art Museum , this initiative was an idea to make the stay more pleasant user, to exhibit works of art walls Clinical and went on to become the first art museum in a health institution in the country. The various exhibitions of paintings, sculptures, crafts, masks and other art forms have had an impact on mental health patients attending the clinic, creating an atmosphere of joy, positivity and admiration. This reinforces the concept that art is an important component in the health of people. The base collection are murals painted by Raúl Aguilar-themed environment of the surrounding mountains and the Central Valley Tibás. Now in its collection includes works by Costa Rican, English, Brazilian, Uruguayan, Chilean and English. The Regional Museum has an ongoing program of temporary exhibitions of national artists.
To complement and understand the role of RL Coopesain in the Health System of Costa Rica, please consult the following links:
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